Active NPI
Audra Beth Lilly, CPNP-PC
- Pediatric Nurse Practitioner
- Denver, CO
National Provider Identifier
1811604473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0997726
- Practice address
- 4900 E Kentucky Ave
Denver, CO 80246-2365 - Phone
- (303) 756-0101
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0997726 | CO | Primary |
Addresses
Primary practice location
4900 E Kentucky Ave
Denver, CO 80246-2365
Mailing address
7389 W Grant Ranch Blvd Apt 1422
Littleton, CO 80123-2671
Phone (214) 789-4855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0997726 | CO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients | |
| Cherry Creek Pediatrics, PC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- alilly97533@direct.childrenscolorado.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1811604473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7389 W GRANT RANCH BLVD APT 1422",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801232671",
"telephone_number": "214-789-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 E KENTUCKY AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802462365",
"telephone_number": "303-756-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "AUDRA",
"middle_name": "BETH",
"credential": "CPNP-PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "0997726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.